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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Documento sin t&iacute;tulo</title>
</head>

<body>
<table width="327" border="0">
  <tr>
    <td colspan="2"><div align="center">Registro de Representante </div></td>
    <td width="8">&nbsp;</td>
  </tr>
  <tr>
    <td width="109">Cliente</td>
    <td width="144"><input name="txtCodigo" type="text" id="txtCodigo" /></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>Tipo Documento </td>
    <td><label>
    <select name="lstTipoDocumento" id="lstTipoDocumento">
      <option selected="selected">Elegir</option>
      <option value="Dni">Dni</option>
      <option value="Pasaporte">Pasaporte</option>
                </select>
    </label></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>Numero Documento </td>
    <td><input name="txtNumero" type="text" id="txtNumero" /></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>Nombres y Apellidos </td>
    <td><input name="txtNombres" type="text" id="txtNombres" /></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>Cargo </td>
    <td><select name="lstCargo" id="lstCargo">
      <option selected="selected">Elegir</option>
      <option value="Gerente">Gerente</option>
      <option value="Administrador">Administrador</option>
      <option value="Supervisor">Supervisor</option>
    </select></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>Grupo Bastanteo </td>
    <td><select name="lstGrupo" id="lstGrupo">
      <option>Elegir</option>
      <option value="A">A</option>
      <option value="B">B</option>
      <option value="C">C</option>
      <option value="D">D</option>
    </select></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td><label>
      <input type="button" name="Submit" value="Registrar" />
    </label></td>
    <td>&nbsp;</td>
  </tr>
</table>
</body>
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